Individual provider Active NPI

Arun Kumar Dhand, M.D.

  • Gastroenterology Physician
  • Ormond Beach, FL
National Provider Identifier
1962490011
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME 36188 Issued in FL
Practice address
780 W Granada Blvd Ste 201
Ormond Beach, FL 32174-2300
Phone
(386) 675-6778
Fax
(386) 675-6782
NPI assigned
Oct 12, 2005
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME 36188 FL Primary

Addresses

Primary practice location

780 W Granada Blvd Ste 201
Ormond Beach, FL 32174-2300

Mailing address

1893 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32117-5536
Phone (386) 675-6778

Other identifiers 2

IdentifierTypeStateIssuer
1962490011OtherFLNPI
066461800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000667 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2163590324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

290 Clyde Morris Blvd
Suite C2
Ormond Beach, FL 32174-8204
Phone (386) 675-6778

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 36188FLMDGastroenterology Physician
36188FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jax Anesthesia Providers LLC PastSince Jun 12, 2006 Accepting new patients
Borland Groover Clinic, PA Gastroenterology PastSince Aug 15, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1962490011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 N CLYDE MORRIS BLVD STE 120",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175536",
            "telephone_number": "386-675-6778",
            "fax_number": "386-675-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W GRANADA BLVD STE 201",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742300",
            "telephone_number": "386-675-6778",
            "fax_number": "386-675-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAND",
        "first_name": "ARUN",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 36188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962490011",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066461800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.